Brook Lupplace, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

2004020214 Issued in MO

Practice address

1091 Midway Dr
Linn Creek, MO 65052-1687

Phone

(573) 346-6758

NPI assigned

Mar 22, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Brook L Cranmer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1235660242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 MIDWAY DR",
            "city": "LINN CREEK",
            "state": "MO",
            "postal_code": "650521687",
            "telephone_number": "573-346-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 MIDWAY DR",
            "city": "LINN CREEK",
            "state": "MO",
            "postal_code": "650521687",
            "telephone_number": "573-346-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPPLACE",
        "first_name": "BROOK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2004020214",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MO",
            "license": "2004020214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOK",
            "last_name": "CRANMER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karista E. Gill, LPC
• Christi Michelle Hancock, D.C.
• Angel R. Heberg, LPC
• Mark A Kassebaum, LPC
• Christina James Landry, LPC
• Jennifer Wren Matthews, RN
• Charles J. McMullin Jr., M.D.
• Alison Meinecke, MS, PLPC
• Ria Newcomb, LPC
• Anita Pinson, LPC, RPT

• Addiction (Substance Use Disorder) Registered Nurse in Linn Creek, MO
• Providers in Linn Creek, MO by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.